We report 2 patients with ureteral injury after a simple total laparoscopic hysterectomy for uterine myoma with a complete resection of the distal ureter.
One patient had unilateral injury and the other 2 patients had bilateral injury. The surgical laparoscopic repair procedure was carried out 3 to 5 days after the injury. Surgery involved intramural dissection of the distal ureteral stump to expose at least 1 cm of the ureter, percutaneous ureteral stent placement, elimination of tension between the proximal ureter and the dissected distal stump, end-to-end anastomosis, and reinsertion of the distal ureter into the bladder muscle layer, which was previously dissected for the anastomosis.
Written by:
Juarez-Soto A, Arroyo-Maestre JM, Soto-Delgado M, Beardo-Villar P, Arrabal-Polo MA, Sánchez-Margallo FM. Are you the author?
Urology Department, Hospital de Jerez, Cadiz, Spain; Surgery Department, Faculty of Medicine, Granada University, Granada, Spain; Center for Minimally Invasive Surgery Jesus Usón, Caceres, Spain.
Reference: Can Urol Assoc J. 2014 May;8(5-6):E366-70.
doi: 10.5489/cuaj.1699
PubMed Abstract
PMID: 24940468
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